European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Jan 2025
Multicenter Study Observational StudyD-dimer cutoff values for predicting functional prognosis in patients with severe head trauma: a multi-centre prospective observational study.
D-dimer, a fibrinolysis indicator, may predict functional and life outcomes in traumatic brain injury (TBI) patients. We aimed to identify optimal D-dimer cutoff values for poor functional outcomes in severe TBI. ⋯ A cutoff value of 27.2 µg/mL for early-stage D-dimer levels could predict the functional prognosis of patients with severe isolated TBI.
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Eur J Trauma Emerg Surg · Jan 2025
Multicenter Study Observational StudyPrevalence, incidence, and complications of malnutrition in severely injured patients.
Severely injured patients may suffer from acute disease-related or injury-related malnutrition involving a marked inflammatory response. This study investigated the prevalence and incidence of malnutrition and its relation with complications in severely injured patients admitted to the intensive care unit (ICU). ⋯ Level III, Prognostic/Epidemiological.
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Eur J Trauma Emerg Surg · Jan 2025
Multicenter StudyImplant irritation and removal rates in operatively treated multiple rib fractures: a 49-month follow-up study.
Little is known about the prevalence, impact and change of the symptoms after implant removal due to irritation in multiple rib fractures. This study aims to explore these aspects to improve treatment decision-making. ⋯ Implant irritation in patients with multiple rib fractures is a common problem, even years after surgery, without guaranteed symptom improvement post-removal. These results provide an additional argument to be more selective in offering rib fixation to patients with multiple rib fractures in the first place.
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Eur J Trauma Emerg Surg · Jan 2025
Multicenter Study Comparative Study Observational StudyPattern of injury in polytrauma compared to single limb related Lisfranc joint fractures.
Midfoot fractures in polytrauma patients are often an underappreciated injury relative to their other major injuries sustained. In this study, our aim was to explore the mechanisms and patterns of injury in polytrauma related midfoot fractures as compared to single limb injuries. ⋯ Polytrauma related Lisfranc joint midfoot injuries have a higher prevalence of medial and lateral column injury than non-polytrauma Lisfranc joint midfoot injuries. Non-polytrauma injuries can, however, have an equally significant force involved as polytrauma patients, with over 50% occurring as the result of high velocity injury. A high index of suspicion should be maintained for midfoot injuries in high velocity mechanisms, regardless of other injuries sustained.
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Eur J Trauma Emerg Surg · Jan 2025
Multicenter StudyImpact of preoperative frailty on outcomes in patients subjected to emergency laparotomy: a prospective study.
Emergency laparotomy (EL) is a high-risk procedure, especially in frail patients. This study investigates the prevalence of frailty in referral facilities, evaluates the impact of frailty on postoperative morbidity and mortality, and assesses the long-term effect of EL on patients' functional status. ⋯ The 180-day mortality after EL is significantly higher for patients on higher levels of frailty. Likewise, the preoperative frailty has a significant negative impact on postoperative outcomes both short- and long-term.